In a letter, the national director for patients and information at NHS England Tim Kelsey said the practices will “trial, test, evaluate and refine the collection process ahead of a national roll-out."

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This phased roll-out of GP data extraction was proposed by the independent Care.data advisory group chaired by Ciaran Devane, chief executive of Macmillan Cancer Support, the British Medical Association, Healthwatch, and the Royal College of General Practitioners.

Kelsey admitted NHS England needed to do more to “ensure patients and the public have a clear understanding of the Care.data programme” and is working with stakeholders to produce support materials, such as a template letter for patients to make opting out more straightforward.

He said the organisation has been asked to provide greater assurance on issues including: patients’ right to object to their identifiable data being shared; protecting privacy; the burden on GPs; and the controls around data.

Kelsey also said that steps had been made in making changes to the law in order to increase the protection of confidential data.

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